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1962771931
TINA MYREE MARTIN
POMPANO BEACH, FL
NPI
1962771931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: VA T62178724)
Enumeration Date
2011-12-21
Last Update Date
2011-12-21
Business Address
-- TINA MYREE MARTIN B.S., QMHP
2708 NE 14TH ST APT 5
POMPANO BEACH, FL 33062-3564
Phone number: 888-880-9270
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Mailing Address
-- TINA MYREE MARTIN B.S., QMHP
2324 VICTORY BLVD APT F
PORTSMOUTH, VA 23702-2668
Phone number: 757-717-3456
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